Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LIANE VIDERES DE SOUZA, LPC
ActiveMRS. LIANE VIDERES DE SOUZA, LPC is a Professional Counselor healthcare provider located in COLLEGEDALE, Tennessee. NPI 1619014768 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · COLLEGEDALE, TN
Registration Details
- NPI Number
- 1619014768
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2007 (19.524769619666 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LPC1630 (TN)
Practice Information
- Address
-
4881 TAYLOR CIRCLECOLLEGEDALE, TN, 37315Browse TN providers · Browse ZIP 37315
- Phone
- 4232362081
- Fax
- 4232631782
- Primary Specialty
-
Professional Counselor
101YP2500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.